Active NPI
Naomi Leah Demasters, L.P.N.
- Licensed Practical Nurse
- Colorado Springs, CO
National Provider Identifier
1093049801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 46470
- Practice address
- 4501 Briargate Pkwy.
Colorado Springs Medical Office
Colorado Springs, CO 80908 - Phone
- (303) 614-1400
- NPI assigned
- Sep 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 46470 | CO | Primary |
Addresses
Primary practice location
4501 Briargate Pkwy.
Colorado Springs Medical Office
Colorado Springs, CO 80908
Mailing address
4501 Briargate Pkwy.
Colorado Springs Medical Office
Colorado Springs, CO 80908
Phone (303) 614-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46470 | CO | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1093049801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 BRIARGATE PKWY.",
"address_2": "COLORADO SPRINGS MEDICAL OFFICE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80908",
"telephone_number": "303-614-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 BRIARGATE PKWY.",
"address_2": "COLORADO SPRINGS MEDICAL OFFICE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80908",
"telephone_number": "303-614-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMASTERS",
"first_name": "NAOMI",
"middle_name": "LEAH",
"name_prefix": "Mrs.",
"credential": "L.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CO",
"license": "46470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.